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WANT TO SEE OBAMACARE SUCCESSES? LOOK AT THE STATES — The federal Obamacare website disaster and the cancelled policies aren’t the whole story of the Affordable Care Act, POLITICO’s David Nather writes. There are just enough bright spots among the states running their own show to suggest that, for all the early disasters, the law’s fate isn’t final yet. “They certainly don’t tell us that the rollout is going well. But they do suggest that it’s not impossible for the law to work, health care experts say — because if it really were impossible, it wouldn’t be working anywhere,” he writes. http://politico.pro/1idpIMV

OBAMACARE ES TARDE — The Spanish version of HealthCare.gov is being delayed even longer than your PULSEr puts off going to the dry cleaners. Now it’s not going to be launched until early next month, even though just last week administration officials promised a Nov. 30 launch date. The site is already two months late. Que horrible. The AP story: http://bit.ly/1bTiiFY And ICYMI, our recent Pro story on frustrations with the delay: http://politico.pro/186tLXv

Good morning, Wednesday readers. It’s our final PULSE of Thanksgiving week (we’re taking Thursday and Friday off), but if you’re dying to know the fate of HealthCare.gov, check in on Friday for updates. As for us, we’ll be playing nonstop with our almost-two-year-old nephew and blissfully tuned out of Obamacare for a bit. Toodles.

“Let me tell you baby, you’re a PULSE turkey.”

IRS RELEASES FINAL RULES ON HIT, MEDICARE TAXES — Yesterday the administration released three rules spelling out hundreds of billions of dollars worth of tax provisions meant to fund the Affordable Care Act. The rules spell out which health plans are subject to the new health insurance tax, how a new Medicare tax works and how the law’s net income investment tax will be calculated. Pro’s Brett Noman with the story: http://politico.pro/1bTD08P And the rule: http://1.usa.gov/1crMr13

WHITE HOUSE ASSURES DOCS THEY WON’T BE LEFT BEHIND — Physicians who were invited to meet with top Obama health advisors yesterday said they discussed concerns over narrower provider networks in the exchanges, preserving primary care incentives in Medicaid and limiting excessive paperwork. The meeting was interpreted as an effort to keep doctors engaged in the rollout, according to at least one physician source, who said the administration made no “ask” of the groups.

-The meeting “offers encouragement that patients and their physicians won’t be left behind as they make important decisions about health care over the next several weeks,” the American Osteopathic Association said in a statement. Those invited included the American Medical Association, the American Academy of Family Physicians and the AOA, among others. They met with White House health policy aides Chris Jennings, Jeanne Lambrew and Tim Gronniger.

SUPERPAC TO TARGET ENZI ON OBAMACARE — A conservative super PAC is set to launch a TV attack ad on Monday intimating that Republican Sen. Mike Enzi is less than pure in his opposition to Obamacare. Americans for Job Security highlights comments he made during the 2010 debate over the health law, when he said the health exchanges “can be good.” “Good?” asks an incredulous narrator in the 30-second commercial, shared exclusively with POLITICO. “Wyoming’s Obamacare exchange has the most expensive premiums in the country, and it’s marred by glitches.” Enzi is being challenged in next August’s Republican primary by Liz Cheney, the former vice president’s daughter. She is spending around $40,000 this week to air her second commercial, which features her three daughters highlighting their ties to Wyoming. That ad: http://politi.co/18jnszS

--An Enzi spokesman did not immediately respond to a request for comment. The senator, who voted against Obamacare in 2010, has supported efforts to repeal and defund the law. The POLITICO story: http://politi.co/1icqxWl

COUNTDOWN TO NOV. 30 = 3 days

COUNTDOWN TO JAN. 1 = 35 days

ALL (GOOD) OBAMACARE NEWS IS LOCAL — President Obama has bungled HealthCare.gov so badly that he’s told senior aides to not every try to win positive coverage from the national press. Instead, they’re going local, POLITICO’s Carrie Budoff Brown and Reid J. Epstein report. In the past month, the president and his cabinet have hit nine of the top 10 cities with the most uninsured while senior administration officials have held almost daily reporter conference calls to challenge GOP governors who refuse to expand Medicaid.

--“The local strategy is unusually aggressive, even for a president on the ropes and desperate to circumvent the national media. It’s been the only way to break through the glut of bad headlines and go on the offense to make the law work — although even when the White House showers attention on small markets, the results can be mixed,” they write. http://politi.co/1c6i7uD

OBAMACARE FUNDS COMMUNITY PROVIDERS — The National Health Service Corps made more than 4,500 loan repayment and scholarship awards to clinicians and students in fiscal 2013 thanks to more than $284 million from the Affordable Care Act, according to a new HHS report released today. Grants were also made to 32 states to support state loan repayment programs. Between 2009 and 2013, HHS says, “historic investments” through the ACA allowed the Corps to support nearly 14,000 health care providers who committed to practicing in the areas of the United States that need them most. http://1.usa.gov/17W6EhH

NEARLY SEVEN IN 10 AMERICANS CITE NO ACA IMPACT — Most Americans say they haven’t been directly affected by the health care law yet but, boy, are they dreading it down the road. When asked in a new Gallup poll about the law’s effects on them so far, 69 percent said it hasn’t affected them, while 19 percent say it’s hurt them and nine percent say it’s helped them. Far more are pessimistic about their future under the law; 41 percent said it will worsen their situation while 20 percent said their situation will be improved. http://bit.ly/1icQ7L1

--Gallup released another interesting poll yesterday showing that people in the areas most affected by last year’s Hurricane Sandy are smoking more and eating less healthfully than before the storm. http://bit.ly/17WaUho

**A message from POWERJobs: Jobs on our radar this week: Federal Government Relations at National Community Pharmacists Association, Senior Director of Assisted Living Policy at American Health Care Association and Senior Consultant, Health Care Providers at Deloitte. Interested? Apply to these jobs and more at www.POWERJobs.com; finally, a career site made for YOU!**

ON THE HILL NEXT WEEK — The House Energy and Commerce Committee’s health subcommittee will hold a hearing next Wednesday on the health care law’s cuts to Medicare Advantage. How 2012. Witnesses aren’t posted yet. http://1.usa.gov/18FrTmB

PULSE LYRICS

Monday: She & Him “Somebody Sweet to Talk To” by She & Him

Tuesday: “Food, Glorious Food” from Oliver!

Wednesday: “Jive Turkey” by the Ohio Players

PRO TRADE IN ASIA NEXT WEEK — Our own Doug Palmer, one of the top reporters in international trade, is headed to Bali & Singapore for the WTO ministerial meeting and the TPP negotiations. Both the WTO & TPP have major implications for trade, and we’ll have one of the top journalists on the scene with minute-by-minute coverage, real-time multimedia features, exclusive insight and more. Go Pro today for full access to our around-the-clock coverage by calling (703) 341-4600 or emailing info@politicopro.com.

CALIFORNIA LAUNCHES FULL SHOP ENROLLMENT — Small business owners will be able to fully enroll in Covered California’s SHOP exchange starting next week, officials will announce Monday. So far, they’ve been able to set up an account, check their eligibility and get rate estimates, but now they’ll be able to complete the enrollment process.

Ezra Klein writes that reaching the goal of 7 million Obamacare enrollees by the end of March matters less than the ratio of young and healthy enrollees to old and sick: http://wapo.st/IggAqG

Not everyone whose health plan has been cancelled is upset about it, Kaiser Health News and NPR report: http://bit.ly/1iOCxLD

The American Board of Obstetrics has reversed a September restriction forbidding members from treating men for sexually transmitted infections and anal cancer, the New York Times reports: http://nyti.ms/1hhh1Qx

Also in the Times, a new study published in PLoS Medicine finds that the death toll of the 2009 flu pandemic was 10 times worse than the World Health Organization's original tally: http://nyti.ms/IhT0K3

**A message from POWERJobs: Tap into the power of POWERJobs for the newest job opportunities in the Washington area from the area’s top employers, including METRO, Evolver, Boeing and AIPAC. Powered by names you trust — POLITICO, WTOP, WJLA/ABC-TV, NewsChannel 8 and Federal News Radio- POWERJOBS is the ultimate career site with more than 2 million job searches and nearly 17,000 applications submittedthis year so far. Connect through Facebook or LinkedIn, search jobs by industry and set up job-specific email alerts using www.POWERJobs.com, the site for Washington’s top talent.**